Group A ß-Hemolytic Streptococcal Bacteremia and Intravenous Substance Abuse: A Growing Clinical Problem?

Autor: Lentnek, Arnold L., Giger, Olarae, O'Rourke, Eileen
Zdroj: Archives of Internal Medicine; January 1990, Vol. 150 Issue: 1 p89-93, 5p
Abstrakt: • Over an 18-month period, the incidence of group A β-hemolytic streptococcal bacteremia rose from an average of 2.5 per 10 000 patient discharges to 17.9. A retrospective analysis was performed comparing patients with group A β-hemolytic streptococcal bacteremia during this 18-month period with those who presented over the preceding 36 months. Most of the increased incidence was attributable to individuals hospitalized with a diagnosis of drug addiction who had concomitant soft-tissue infection, although the absolute number of hospitalized drug addicts did not change during this interval. No common or distinctive group A streptococcal serotypic patterns were discovered. This experience suggests that group A β-hemolytic streptococcal bacteremia and soft-tissue infection may present in epidemic fashion among parenteral drug addicts in the absence of a common source.(Arch Intern Med. 1990;150:89-93)
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